CMS Price Transparency Data

Physical therapy (gait training)

Facility: Ascension Ne Wisconsin - St Elizabeth Campus

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 1.4× the $29 Medicare rate · typically $31–$85
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
About the fair price
about $6 over the fair price · 1.7× Medicare
Medicare pays $29 Fair price $42 This hospital $48 Cash price $60 Hospital's list price $105

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $48

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (gait training) is about $42 (about 1.4× the $29 Medicare rate). Ascension Ne Wisconsin - St Elizabeth Campus charges insurers about $48, or about $60 in cash — about the fair price. Located in Appleton, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $57 196%
Molina $59 203%
WellCare $29 100%
+ 3 smaller / regional plans $37 - $39
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 1506 S Oneida St, Appleton, WI 54915
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals